| Source HCPCS Code |
|
Target NDC Code |
J2506
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
|
⇄
|
55513-0190-01
NEULASTA (SRN,PREFILLED,PF,4X0.6ML) 6 MG/0.6 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2506
INJECTION, PEGFILGRASTIM, EXCLUDES BIOSIMILAR, 0.5 MG
|
⇄
|
55513-0192-01
NEULASTA (DELIVERY KIT,PF) 6 MG/0.6 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J2506
Inj pegfilgrast ex bio 0.5mg
|
⇄
|
55513-0190-01
Neulasta
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J2506
Inj pegfilgrast ex bio 0.5mg
|
⇄
|
55513-0192-01
NEULASTA DELIVERY KIT
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|